Provider Demographics
NPI:1477395150
Name:KAO, ERIKA D (MSW, LSW, LMSW)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:D
Last Name:KAO
Suffix:
Gender:F
Credentials:MSW, LSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 HELENA AVE
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1220
Mailing Address - Country:US
Mailing Address - Phone:551-804-9830
Mailing Address - Fax:
Practice Address - Street 1:529 HELENA AVE
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-1220
Practice Address - Country:US
Practice Address - Phone:551-804-9830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123144-011041C0700X
PASW1414321041C0700X
NJ44SL054019001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical